NPI Profile for RENEWED VISION COUNSELING AND DEVELOPMENTAL DISABILITY CENTER PC in OMAHA, NE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1174122170 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/21/2020 | |
| Last updated | 02/26/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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RENEWED VISION COUNSELING AND DEVELOPMENTAL DISABILITY CENTER PC
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